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WAKE SPECIALTY PHYSICIANS LLC NPI 1013297365


NPI Information

NPI: 1013297365
Provider Name: WAKE SPECIALTY PHYSICIANS, LLC

Doing Business As: WAKEMED URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
212 ASHVILLE AVE
SUITE 10
CARY, NC
ZIP 27518
Phone: (919) 859-1136
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WAKE SPECIALTY PHYSICIANS, LLC is an urgent care clinic center in Cary, NC. WAKE SPECIALTY PHYSICIANS, LLC NPI is 1013297365. The provider is registered as an organization entity type.
The provider Is Doing Business As Wakemed Urgent Care.

The provider's business location address is:

212 ASHVILLE AVE
SUITE 10
CARY, NC
ZIP 27518-669
Phone: (919) 859-1136
Fax: (919) 859-4240

The provider's authorized official is Maria Jayoussi .
The authorized official title is Executive Director and has the following contact phone number (919) 350-6089.

The enumeration date for this NPI number is 8/18/2011 and was last updated on 9/14/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QU0200XClinic/CenterUrgent CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11013297365MEDICAIDNORTH CAROLINA
22347332MEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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